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Advance care planning in New Zealand : a qualitative study of the motivators and barriers to uptake

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BROWN, Wendy | BAKEN, Donald | STEPHENS, Christine

OBJECTIVE: As a follow-up to the first national survey of advance care planning uptake in New Zealand, which demonstrated a low level of plan completion, this study seeks to better understand the motivators and barriers associated with uptake. METHOD: Using a qualitative approach and a purposeful sampling method, nine interviewees participated in semi-structured interviews exploring in further depth their knowledge, attitudes and activities in relation to planning for end-of-life care. Thematic analysis was applied to the transcripts and several key themes identified. RESULTS: The five key themes were Knowledge of Advance Care Planning; Incomplete Planning; Relational Autonomy; Focus on Family; and Still Time to Plan. CONCLUSION: A stepped process to encourage planning uptake is suggested, with legal and financial steps preceding the making of more personal values-based decisions salient to a serious diagnosis.

http://dx.doi.org/10.1111/ajag.12866

Voir la revue «Australasian journal on ageing»

Autres numéros de la revue «Australasian journal on ageing»

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